Effectiveness of GRACE risk score in patients admitted to hospital with non-ST elevation acute coronary syndrome (UKGRIS): parallel group cluster randomised controlled trial.

ABSTRACT:

Objective

To determine the effectiveness of risk stratification using the Global Registry of Acute Coronary Events (GRACE) risk score (GRS) for patients presenting to hospital with suspected non-ST elevation acute coronary syndrome.

Design

Parallel group cluster randomised controlled trial.

Setting

Patients presenting with suspected non-ST elevation acute coronary syndrome to 42 hospitals in England between 9 March 2017 and 30 December 2019.

Participants

Patients aged ≥18 years with a minimum follow-up of 12 months.

Intervention

Hospitals were randomised (1:1) to patient management by standard care or according to the GRS and associated guidelines.

Main outcome measures

Primary outcome measures were use of guideline recommended management and time

SUBMITTER: Gale CP 

PROVIDER: S-EPMC10265221 | biostudies-literature | 2023 Jun

REPOSITORIES: biostudies-literature